Provider Demographics
NPI:1942935663
Name:BACHARANIANDA LLC
Entity Type:Organization
Organization Name:BACHARANIANDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPAK
Authorized Official - Middle Name:BACHARANIANDA
Authorized Official - Last Name:MUTHAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-532-7119
Mailing Address - Street 1:3220 ABBY LN
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-3310
Mailing Address - Country:US
Mailing Address - Phone:214-532-7119
Mailing Address - Fax:
Practice Address - Street 1:3220 ABBY LN
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-3310
Practice Address - Country:US
Practice Address - Phone:214-532-7119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2086H0002XAllopathic & Osteopathic PhysiciansSurgeryHospice and Palliative MedicineGroup - Multi-Specialty